Provider Demographics
NPI:1922593755
Name:LIHTE, EMILY PAIGE (PTA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:PAIGE
Last Name:LIHTE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 CALLE CUERVO NW APT 1026
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-9217
Mailing Address - Country:US
Mailing Address - Phone:505-417-3819
Mailing Address - Fax:
Practice Address - Street 1:8616 MENAUL BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2262
Practice Address - Country:US
Practice Address - Phone:505-292-4784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPTA1510225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant